Heather Marie Beierle, OD
Individual provider Active NPI Optometrist · Vestal, NY
NPI 1295797447 · NPPES record last updated Feb 8, 2011
Key facts
- NPI
- 1295797447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- VUT0067171 (NY)
- Practice address
- 3900 Vestal Pky E
Empire Vision Centers
Vestal, NY 13850 - Phone
- (607) 771-1212
- Fax
- (607) 729-2605
- NPI assigned
- Apr 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041202000764 | NY | Practitioner - Optometry | 1658337589 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VUT0067171 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Binghamton Ophthalmology Associates, P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | VUT0067171 | NY | Yes |
Addresses
Primary practice location
3900 Vestal Pky E
Empire Vision Centers
Vestal, NY 13850
Mailing address
2921 Erie Blvd E
Empire Vision Center, Inc
Syracuse, NY 13224
Phone (315) 445-7465
Other names
- Dr. Heather Marie Lantz
Other providers in Vestal, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.